Organization · Type 2 NPI
Orthodontic and Dental Clinic
Dental Clinic/Center · Mexicali, MX
NPI number
1356716203
Active
Practice location
Ave Justo Sierra # 26 Local 12-A C.c. La Plazita
Mexicali, MX 21200
Fax (686) 565-6711
Mailing address
477 Cesar Chavez Blvd Ste 9
Calexico, CA 92231-2129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1356716203
Orthodontic and Dental Clinic's National Provider Identifier is 1356716203, issued on Dec 3, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mexicali, MX. The record was last updated on Dec 3, 2015.